Public record

CMS Home Health Agency All Owners

Associate id - owner: 6305996679 · 10 matching records

Enrollment id
O20100311000978
Associate id
5698800928
Organization name
PORTRUSH, LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-29
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
0
Enrollment id
O20100311000978
Associate id
5698800928
Organization name
PORTRUSH, LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-12-29
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
COO
Enrollment id
O20100420000443
Associate id
0749317923
Organization name
PERITECH HOME HEALTH ASSOCIATES LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-26
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
0
Enrollment id
O20130517000307
Associate id
1355588955
Organization name
LIGHTHOUSE HOME HEALTH AGENCY LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-07-08
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
COO
Enrollment id
O20140717001885
Associate id
0749317923
Organization name
PERITECH HOME HEALTH ASSOCIATES LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-26
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
0
Enrollment id
O20140902001630
Associate id
7012135155
Organization name
ALEXANDER HOME HEALTHCARE LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-07
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATIONS OFFICER
Percentage ownership
0
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-06-01
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATIONS OFFICER
Percentage ownership
0
Enrollment id
O20230203000155
Associate id
7113399098
Organization name
ALL CARE HOME NURSING SERVICES LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-10-19
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
0
Enrollment id
O20230306001681
Associate id
7113399098
Organization name
ALL CARE HOME NURSING SERVICES LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-10-26
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
0
Enrollment id
O20230413002882
Associate id
7113399098
Organization name
ALL CARE HOME NURSING SERVICES LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-12-14
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
0

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